2 0 1 8 A N N U A L R E P O R T

Message to Our Community 1

Robotic Technology Improves Surgical Experience 2

Neurosurgeons Enhance Quality of Life 3

New Brand, Same Top-Notch Care 4

2018 Highlights 5

Financial Overview 6

Philanthropy 7

Our Supporters 8

C O N T E N T S

2

3

4

7

Our MissionWe are committed to providing, in a

community-based setting, the highest quality

healthcare to Boston’s northern suburbs. By

doing so, we strive to become the healthcare

system of choice in the region for you and

your family.

About MelroseWakefield HealthcareMelroseWakefield Healthcare is a coordinated

system of hospitals, physician practices and

community-based services providing care

for communities throughout north suburban

Boston. We are distinguished by the range of

clinical care and services we provide locally

for the continuum of care.

Produced by the Marketing and Communications Department at MelroseWakefield Healthcare.

Cover: MelroseWakefield Hospital continues to expand its neurosurgery services to local patients, providing treatment for a full range of conditions from back pain to brain tumors.

Photos: Cover, Tom Kates Photography; p. 4, David Sokol Wicked Local; all other photography by MelroseWakefield Healthcare.

Design: Tautenhan Design Group

©2019 MelroseWakefield Healthcare

2018 Annual Report 1

M E S S A G E T O O U R C O M M U N I T Y

Growth and Positive Momentum for Our Organization

Fiscal year 2018 marked our second year as a member of Wellforce and continued to bring the promise of our partnership into reality. We focused our efforts on strengthening our collaborations with our peer members, Tufts Medical Center and Circle Health in Lowell, and on bringing greater access to specialty services to the communities we serve. Some examples of this exciting growth are described in this annual reflection. We established robotic surgery services that offer patients advanced, minimally invasive surgical options that allow for the least postoperative pain and the quickest recovery. We expanded our neurosurgery services that provide treatment for a full complement of conditions from back pain to brain tumors. We celebrated 25 years of advanced cardiac care in the community and many other milestones that are raising the bar in local community care. With healthcare needs steadily moving to lower-cost settings, we took the bold initiative of setting into motion plans for a state-of-the art ambulatory surgery center in the community. We accomplished all this while being successful financial stewards in a challenging healthcare market and making significant financial improvements. To reflect and embrace our dynamic growth, we re-envisioned our brand and adopted a new name, MelroseWakefield Healthcare, and visual identity. Our new name reflects our ties to the greater north suburban Boston region that we serve, and our new, modern look demonstrates our growing clinical partnership with Tufts Medical Center. In addition, our employed physician group changed its name to Tufts Medical Center Community Care. Serving our patients remains the foundation that drives all our endeavors. MelroseWakefield Healthcare with its rich history is well positioned for the future. We are confident in our continued growth and enthusiastic about what lies ahead in 2019 and beyond. We are deeply honored to lead

MelroseWakefield Healthcare at such an exciting time.

Sue Sandberg, MBA, RN James F. HerringtonChief Executive Officer Chair, Board of Trustees

(L to R) Sue Sandberg, MBA, RN, Chief Executive Officer of MelroseWakefield Healthcare, and James Herrington, Chair of the Board of Trustees.

2 MelroseWakefield Healthcare

S T A T E - O F - T H E - A R T T E C H N O L O G Y

Robotic technology is revolutionizing the experience of surgery, and MelroseWakefield Hospital is at the forefront of this innovation in surgical medicine. On February 1, 2018, Adam Blau, MD, a fellowship-trained robotic surgeon, repaired three hernias for a patient in one minimally invasive operation, a technique that allowed for less postoperative pain and a quicker recovery. Dr. Blau was at the helm of the latest advancement in robotic surgical technology, the da Vinci Xi® surgical system, for the first robotic-assisted surgery at MelroseWakefield Hospital. “Providing robotic-assisted surgery to our patients is part of MelroseWakefield Hospital’s focus on growing services and offering more advanced surgical options,” said Matthew Brown, MD, chief of surgery. Dr. Brown and Dr. Blau lead the robotic surgery program at MelroseWakefield Hospital. Robotic-assisted surgery allows surgeons to perform many types of complex procedures with more precision, flexibility and control than is possible with conventional techniques. A surgeon is always in full control of the surgery and robotic system. Through tiny incisions, robotic technology translates the surgeon’s hand movements into smaller, more precise movements of tiny instruments inside the patient’s body. The machine’s robotic arms and wrist-like joints can move 360 degrees in any direction and become virtual extensions of the surgeon’s eyes and hands. This allows for more effective, accurate surgical movements with unparalleled range of motion and control. “The robotic instruments are very sophisticated relative to laparoscopic instruments,” said Blau. “These instruments have multiple joints. When you combine

Robotic Technology Improves Surgical Experience

these joints with robotic arm joints, you can make this instrument move in almost unlimited degrees of freedom, more than the human wrist.” The state-of-the-art robotic system is changing the way patients experience surgery at MelroseWakefield Hospital. The technology’s precision translates to less invasive, quicker surgeries, which has significant benefits for patients. “Patients who have robotic-assisted surgery often recover faster, have less postoperative pain, and need

little or no narcotic pain medicine compared to open and laparoscopic surgeries,” said Dr. Blau. Robotics is the next frontier in surgery, and the possibilities to come are exciting. Plans are already in place to expand on the success of 2018 to offer even more robotic-assisted specialty surgeries in 2019. “Patients don’t have to look far for the most advanced surgical experience. We are bringing it right here to their neighborhood,” said Dr. Brown.

(L to R) Dr. Matthew Brown and Dr. Adam Blau lead the robotic surgery program at MelroseWakefield Hospital, providing the latest advances in minimally invasive surgical medicine to patients locally.

2018 Annual Report 3

G R O W I N G N E U R O S U R G E R Y S E R V I C E S

Back Pain to Brain Surgery: Neurosurgeons Enhance Quality of Life

The brain and spine control everything we do. When they aren’t working properly, either from injury or illness, the body doesn’t work the way it should. MelroseWakefield Hospital provides comprehensive back, neck and neurosurgery services in the community for conditions of the brain, spine and nerves to help local patients regain their abilities to lead a full life. “Many of our patients are quite debilitated by their pain,” said Mina Safain, MD, a fellowship-trained surgeon who established MelroseWakefield Hospital’s neurosurgery services in 2017, in partnership with Tufts Medical Center. Our team of neurosurgeons has expertise in a full range of nonsurgical, traditional and minimally invasive procedures, including treatment for back pain, spinal disorders, aneurysms and brain tumors. In 2018, the service built on the success of its first year and grew steadily, increasing patient visits, surgeries, and conditions that can be treated locally at MelroseWakefield Hospital, including complex spinal fusions and cranial hemorrhages. The service welcomed neurosurgeon Marie Roguski, MD, who is fellowship trained in neurosurgical oncology at Memorial Sloan Kettering Cancer Center and specializes in brain and spine tumors, supporting the growth. Under the care of our neurosurgery team, local patients with debilitating conditions or life-threatening illnesses have recovered and regained their quality of life. From a patient who suffered from intense back pain after trying to lift a heavy object to a patient with vision impairment from a benign brain tumor, patients have a new lease on life. “Surgery is life changing for these patients,” said Dr. Safain. Having this level of care available locally gives patients access to neurosurgical specialists who are close to home and part of the community. “People want to stay local,” said Dr. Roguski. “They want to be safe and to recover, all which can be done in the community where patients have much better support close to home.” The neurosurgery team is looking ahead at the possibilities to expand services even more in the coming year, including offering cranial surgeries onsite. Of all their success at providing advanced services to meet the needs of the community, the neurosurgery team is most proud of the response from patients and the quality of life outcomes. A new national program shows that neurosurgery services at MelroseWakefield Hospital is scoring above the national average in quality of life, pain after surgery and surgical infection rates. “Nothing is more gratifying than seeing patients participating in activities they hadn’t been able to do just a few weeks earlier,” said Dr. Safain.

(L to R) Mina Safain, MD, and Marie Roguski, MD, provide greater local access to the full range of highly specialized neurosurgical care, including spine, neck and brain surgery, in our communities.

N E W B R A N D I D E N T I T Y

4 MelroseWakefield Healthcare

New Brand, Same Top-Notch Care

MelroseWakefield Healthcare In 2018, we proudly unveiled a new, modern brand identity to capture the energy and opportunities that distinguish us as a leader in regional community healthcare. To better reflect the region to which our care is provided, we changed our name to MelroseWakefield Healthcare and developed a fresh, new visual identity, including new logos.

Aligning with Tufts Medical Center This new visual identity is complementary to the Tufts Medical Center identity, with the same fonts and colors, and demonstrates our growing clinical relationship and efforts to bring more advanced specialty services to our communities. We show that we are a member of Wellforce by using the “Proudly Wellforce” tag. Our new MelroseWakefield Healthcare brand is designed to give our collective hospitals more prominence. The names of our local hospitals, Lawrence Memorial Hospital of Medford and MelroseWakefield Hospital, did not change. Each proudly displays its local name with its logo mark and by doing so more clearly communicates the hospital-based services we provide throughout our region of care. It is the result of a comprehensive process to understand what will set us apart in the market, which included research showing that patients greatly value their local relationships. Our new brand also includes a new website, melrosewakefield.org. It features all our great services throughout our communities in a contemporary, user-friendly design that supports the growth of our brand and was recognized nationally in 2018 for outstanding design. We are excited about this symbol of the advancements we are bringing to community-based healthcare.

Tufts Medical Center Community Care In addition to the new MelroseWakefield Healthcare brand, our employed physician group, Hallmark Health Medical Associates, renamed its organization to Tufts Medical Center Community Care. The combination of the exceptional care offered by our providers with the Tufts Medical Center brand is making a strong statement in the market. This is an exciting new chapter for the organization as it continues to provide the best primary care and specialty services close to home for patients.

The new MelroseWakefield Healthcare website offers the latest in responsive design for ease of use on all devices. It received a Platinum eHealthcare Leadership Award for best site design in 2018.

Our new visual identity aligns us with the same fonts and colors as Tufts Medical Center to demonstrate our growing clinical collaboration.

2018 Annual Report 5

2 0 1 8 H I G H L I G H T S2 0 1 8 H I G H L I G H T S – B Y T H E N U M B E R S

Tufts Medical Center Community Care is growing across

many specialties, including the OB/GYN physician team

that grew by 40 percent, offering more access to expert,

compassionate care at life’s most precious moments.40%

50,400

We reached more than 50,400 community members at more than 50 health events across our local communities, providing health screenings, educational activities and health resources to local residents.

365Every day, 365 days a year, we work to continually enhance quality and patient safety in our daily operations. As a result of this focus and dedication, we received exceptional results on our Joint Commission survey. After a thorough evaluation of our entire organization, we exceeded the bar in quality and safety for community hospitals.

25 We proudly celebrated

the 25th anniversary of our

cardiac catheterization

lab, which was the

first of its kind to open

in the region in 1993.

Today MelroseWakefield

Cardiovascular Center has

become a regional leader

in heart care. More than

3,000 procedures are

performed per year, and 90

percent of cardiac patients

stay in the community.

F I N A N C I A L O V E R V I E W

6 MelroseWakefield Healthcare

Fiscal year 2018 was a pivotal year for MelroseWakefield Healthcare. Our continued commitment to financial stewardship and drive toward operational excellence exceeded our strategic targets and yielded positive results. Rooted in our mission to provide high-quality healthcare in a community-based setting, our efforts to integrate efficiencies into our day-to-day operations better serves our patients and allows us to invest more in expanding patient care services. We look forward to continuing this progress and sustained growth in 2019.

Financial results for the fiscal years ending on September 30, 2018 and 2017.

Facts and Figures 2018 2017Beds (operating) 293 293 Discharges 9,771 10,993 Emergency department visits 44,301 46,840 Births 794 870 Operating room cases 12,591 13,483 Physician office visits 139,015 165,893 Homecare visits 79,538 72,290Hospice visits 14,156 13,747 Employees 2,634 2,756

Financial Performance* 2018 2017Operating revenues $291,187 $296,696 Operating expenses 294,881 318,220 Loss from operations (3,694) (21,524)Nonoperating gains: Investment income 6,213 14,805 Other 4,379 (895)Nonoperating gain – Net 10,592 13,910 Excess of revenue and gains over expenses $6,898 $(7,614)

*in thousands

Our Commitment to Quality and Stewardship

2018 Annual Report 7

P H I L A N T H R O P Y

Thank You for Your Support

Thanks to your generosity and investment in MelroseWakefield Healthcare, we raised $2 million to advance our mission and provide patients more specialty care locally. Our donors support excellence in patient care every day and the growth of vital services. This past year, we acquired the latest robotic surgical technology to offer patients advanced, minimally invasive surgical options locally that allow for quicker recovery with less postoperative pain. We celebrated the 25th anniversary of our cardiac catheter lab, the first of its kind in the region, that gives patients more advanced cardiac care close to home. MelroseWakefield Hospital began its renovation of labor and delivery suites to ensure the most up-to-date and patient-friendly experience for delivering mothers and their newborns. In an effort to provide comfort and healing, MelroseWakefield Breast Health Center started distributing post-mastectomy kits and specialty bras to patients. We also launched a Safe Sleep program where new parents who deliver at MelroseWakefield Hospital receive education on infant sleep safety and a Halo SleepSack®. Our strength as a community-based healthcare provider flows from the generosity and support of the MelroseWakefield Healthcare community. We are deeply grateful for your contributions to our mission.

To make a charitable donation or learn more about how you can give, visit melrosewakefield.org/giving or call 781-338-7620.

More than 300 supporters helped make the annual Taste of Spring fundraiser a tremendous success. The event raised nearly $60,000, with proceeds directly impacting the delivery of high-quality care, increased access to services, and community programs for generations of patients and families.

Taste of Spring featured delicacies from more than a dozen of the area’s finest restaurants and specialty shops, as well as live and silent auctions.

The Stride for Healthy Communities 5K is a family friendly event open to all levels of participants in partnership with the Melrose Running Club. Proceeds benefit family health services such as community CPR training, nutritional support and other initiatives to keep our communities healthy.

8 MelroseWakefield Healthcare

$250,000+Kathryn A. McCarthy, PhD*

$50,000+The Adelaide Breed Bayrd FoundationAnonymousMr. Alphonse R. Frezza*

$25,000+MelroseWakefield Healthcare Medical StaffMs. Lois M. Monge*

$10,000+Cataldo Ambulance ServiceCernerKappa Delta Psi SororityMrs. Muriel E. MacDonald*Mrs. Esther C. Osborne*Jennifer S. Wu, MD

$5,000+Action Ambulance ServiceAgility OrthopedicsAnaesthesia Associates of MassachusettsArmstrong Ambulance ServiceBear Hill Rehabilitation and Nursing CenterBrookline BankBurnell ControlsConsigli Construction Co.Eastern Bank Charitable FoundationEverett Foundation for Aged PersonsFoster & Eldridge LLPHallmark Imaging Associates PCJames and Ellen HerringtonLittler Mendelson PCMr. and Mrs. Laurence L. PotterSalter HealthcareSodexoStanley Elevator CompanySterling Construction

The Wilkinson CompaniesMr. and Mrs. Leslie J. Wilson*Wingate HealthcareYankee Pest Control

$2,500+Bank of AmericaMr. and Mrs. Paul Bardaro, CPAMs. Caryl BeisonBrightview Senior Living WakefieldCoverysCrothall HealthcareHealthGradesHealthSouth New England Rehabilitation

HospitalICO Energy and EngineeringMr. and Mrs. William B. Lawrence IIILifeLine Ambulance ServiceLongfellow Investment ManagementMr. and Mrs. Alan G. MacdonaldMedlineMelroseWakefield Hospital AuxiliaryMr. and Mrs. Brian MusselmanMr. Randall OffordPaul T. Murphy Insurance AgencyThe Residence at Melrose Station RSM US LLPShields Health Care GroupSnowCap TechnologiesStericycleTobin & Sons Moving and StorageVerrill Dana LLP

$1,000+ADI Print SolutionsAMN HealthcareArtis Senior LivingAtria Maplewood PlaceBilkeykatz Investment ConsultantsBlue Cross Blue Shield

Edward P. Butler, MDMs. Patricia L. CampbellBobbi Carbone, MDCentiMarkDr. and Mrs. Steven J. DakoyannisMs. Debra M. DonovanMr. Richard A. DoyleMr. and Mrs. Peter M. FaheyMrs. Diane G. Farraher-SmithMrs. Meredith FowlerFriends of Lawrence Memorial HospitalMrs. Susan L. GlasserMr. John A. Hackett Sr.Hodgson Memorial TrustJ.R.M. Hauling & Recycling ServicesMr. and Mrs. James M. Kaloyanides Sr.Kiwanis Club of MedfordLorenzo Lepore, DMD, PCLevi + Wong Design AssociatesMr. Richard R. L’ItalienLaw Offices of Brian D. McGrailMr. Douglas MellorMelrose Cooperative Bank FoundationNalco Chemical Co.National Coalition for Early Childhood

ProfessionalsNational DevelopmentNew England Coffee CompanyMichael G. Newman, MDNorth Suburban Orthopedic AssociatesMs. Elise O’BrienH. Gregory Ota, MDPersante Sleep CarePidgeon and Co.RestorixHealth Inc.Michael B. Rho, MDSalem Five Charitable FoundationThe Savings BankSteven P. Sbardella, MDMs. Megan H. Shapiro

O U R S U P P O R T E R S

The generosity of our supporters makes it possible for MelroseWakefield Healthcare to continue its mission to bring advanced healthcare to patients locally.

Thanks to our contributors,

we are able to develop,

strengthen and grow our

clinical and community

services. We gratefully

acknowledge our supporters

who have contributed to us

October 1, 2017, through

September 30, 2018.

2018 Annual Report 9

StonehamBankStoneham FordMr. and Mrs. Robert L. Swanson Jr.Taylor CommunicationsTD BankTufts Health PlanUS Pack CompaniesMs. Brenda B. WettergreenAtty. and Mrs. Charles R. WhippleMr. and Mrs. Joseph A. WhiteWilko SystemsMr. and Mrs. Charles B. WillsWayne A. Wivell, MD

$500+Mr. Charles AggourasMs. Jodi F. AndersonNicole A. Bloor, MDDavid M. Bowling, MDRobert S. Cary and Janet NussmannMs. Lizabeth Ann ChockleyMs. Claudia ClarkMrs. Michelle C. CorradoMs. Debra CremensMrs. Deborah L. Cronin-WaeldeMrs. Eileen O. DernWilliam J. Doherty, MDGarrick-Santo LandscapeMrs. Andrea A. HarneyMs. Deborah JoelsonMr. and Mrs. John J. KeenanMahoney, Fiorentino & Co. PCMalden Chamber of CommerceMass Bay IntergroupMetro Credit UnionOickle Family TrustMs. Joyce OppenheimerOptumInsightJoseph L. Pennacchio, MDPremier Heritage Services

Promotional SolutionsMr. John ReardonRebirth Body Transformation CenterRotary Club of MedfordMs. Bonnie RuegseggerMr. Paul A. RufoMr. David P. RyanMs. Judith C. SadaccaMrs. Elisa Scher, RN, MSMr. Frank A. Tredinnick Jr.* Unemployment Services Corp.Robert S. Weinstein, MDMr. and Mrs. George D. WilsonWinchester Savings Bank

$250+Robert G. Abruzese, Esq.William P. Accomando, DMDMr. and Mrs. Cyrus M. AminMrs. Meredith K. BakerMs. Nancy BittnerBrickpoint PropertiesAdam Blau, MDBoston Sword & TunaMs. Elizabeth C. CampbellMs. Patricia J. CarneyMr. and Mrs. Michael P. ConnellyMs. Susan CoppolaMrs. Amy M. DovaleMrs. Carol A. DresserEast Cambridge Savings BankMs. Darleen C. GarneauMs. Tara GibsonMs. Jennifer C. GizmuntMr. Michael GuilmetMrs. Kathryn J. HarlowMr. Edward F. Harney Jr.HDRMr. and Mrs. William E. HorriganMrs. Lauralee V. Howley

Mr. L. Bradley HutchinsonMs. Diana D. JeongMr. and Mrs. Charles F. JohnsonMr. Christopher J. JohnsonMrs. Louise Gingras JordanKFDAThe Hon. James W. Killam IIILeMay ConstructionDavid J. Lesnik, MDMrs. Margaret E. MalenchiniMr. and Mrs. Gerard W. McNaughtMedford High SchoolMelrose Internal Medicine Assoc.Minuteman Press of MaldenMrs. Janet A. MurphyMrs. Kristin M. NaumanMs. Theresa Keane NilandRichard N. Olans, MDPasek CorporationMr. and Mrs. Eric PreviteGene and Corinne ReppucciDr. and Mrs. David H. RichmanGerald J. Riffelmacher, MDMs. Jacqueline RileyRisman Insurance AgencyRobinson Funeral HomeMr. and Mrs. Jan RoczniakMr. Alan M. RosenMr. Joseph Sachetta, CPAMs. Carol SarkasMr. John SeccareccioRonald P. Sen, MDPatricia A. Sereno, MDMs. Jennifer J. SturtevantSun Life FinancialMr. and Mrs. Samir G. TarabelsiMr. William C. ThorntonMrs. Judith A TiernoMrs. Shelley J. Van BurenWagner Law Group

WB Mason Mrs. Barbara A. WellsWillis Towers WatsonMs. Debra Zides

In-Kind DonorsBobby C’s Restaurant Davios Northern ItalianDel Frisco’s GrilleFuGaKyu Japanese CuisineFull Circle DesignHannaford and DumasHenry’s Fine Foods and CateringLegal C BarLord Hobo Brewing Co.Maya Indian Bar & GrillPamplemousseThe Pizza GoddessPoland Spring WaterProQuipReading Cooperative BankThe Remedy ExchangeThe Residence at Melrose StationRoxy’s Grilled CheeseSubaru of WakefieldTurner’s Seafood Grill & MarketTuscan KitchenWegmansThe White Bull TavernThe Whoopie Wagon

*Deceased

Every effort was made to accurately reflect each contributor from October 1, 2017, through September 30, 2018. If you find an error, please accept our sincere apology and contact the Office of Philanthropy at 781-338-7620.

170 Governors AvenueMedford, MA 02155

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